Requester's Full Name*
Requester's E-mail*
Requester's Phone #*
Name of the deceased*
Name of the deceased's father
Family information (relatives) of the deceased*
Date for Namaz-e-Wahshat to be recited on*
If funeral information is available, please provide additional details below:
Location (address) of the deceased's burial
Date of the deceased's burial
Time of the deceased's burial
